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COMPLIANCE INFO_2013-2016
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2013-2016
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Entry Properties
Last modified
10/18/2023 9:06:11 AM
Creation date
6/3/2020 9:56:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2016
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1777\PR0232397\MODIFICATION APPROVAL PLAN 2014.PDF
QuestysFileName
MODIFICATION APPROVAL PLAN 2014
QuestysRecordDate
11/16/2016 4:57:02 PM
QuestysRecordID
3258884
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES[] NO [- <br />b. Identify contractor performing decontamination: <br />Name Phone <br />Address <br />c. Describe method to be used for decontamination: <br />City <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone (�) Hauler Reg# <br />Address <br />Permitted Disposal Site <br />Zip <br />City Zip <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: r <br />Name 1 Phone (_) <br />Address City Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone (_) <br />Address City Zip <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? <br />a. Identify sampling firm: <br />Address <br />b. Identify laboratory performing analysis: <br />Name <br />Address <br />YES[] NO [ ] <br />Phone) <br />City <br />Phone (_) <br />City <br />Zip <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # Phone (� <br />Address <br />City <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />Zip <br />
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